NPI: 1982647236 · CEDAR RAPIDS, IA 52404 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 239 | $6K |
| 2020 | 271 | $8K |
| 2021 | 1,328 | $26K |
| 2022 | 468 | $14K |
| 2023 | 408 | $18K |
| 2024 | 250 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,334 | 1,239 | $35K |
| A4239 | Non-adju cgm supply allow | 104 | 104 | $11K |
| 0002A | 221 | 216 | $8K | |
| 0001A | 242 | 239 | $8K | |
| K0553 | Ther cgm supply allowance | 44 | 41 | $6K |
| 0004A | 90 | 89 | $3K | |
| 0124A | 32 | 32 | $1K | |
| A4259 | Lancets per box | 244 | 240 | $749.99 |
| K1034 | Covid test self-admn/collect | 17 | 17 | $695.98 |
| A4215 | Sterile needle | 41 | 40 | $675.96 |
| 0064A | 15 | 14 | $480.00 | |
| 90480 | 12 | 12 | $480.00 | |
| 90686 | 46 | 46 | $479.20 | |
| 90471 | 47 | 47 | $132.34 | |
| 91301 | 16 | 16 | $0.00 | |
| 91300 | 428 | 401 | $0.00 | |
| 91312 | 31 | 31 | $0.00 |